围产期妇女的社会歧视,警和患者提供者关系:一种混合方法研究
Katherine I Tierney1, Ellen Wagenfeld-Heintz1, Cynthia Bane2
1Western Michigan University, Kalamazoo, Michigan.
Journal of midwifery & women's health
|October 21, 2024
概括
社会歧视影响围产期妇女与医疗保健提供者的关系,特别是有色女性. 解决歧视问题是改善产妇护理质量和结果的关键.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 孕产妇健康 孕产妇健康
背景情况:
- 美国的孕产妇死亡率不成比例地影响女性基于种族和社会经济地位 (SES).
- 社会歧视和患者-医疗服务提供者关系质量与不利的孕产妇结果有关.
- 在孕产妇健康方面,社会歧视和患者与医疗服务提供者的关系之间的相互作用仍未得到充分探索.
研究的目的:
- 调查围产期妇女社会歧视与患者与医疗服务提供者关系质量之间的关联.
- 探索如何在患者-提供者动态中体现歧视经验.
- 了解种族和SES在这些协会中的作用.
主要方法:
- 混合方法设计使用顺序解释方法.
- 定量阶段:通过对代表性调查 (n=244) 的结构方程建模进行路径分析.
- 定性阶段:针对调查参与者的重点小组 (n=34) 进行主题分析.
主要成果:
- 种族和SES显著预测了社会歧视的经历.
- 社会歧视与在医疗保健互动期间的警行为正相关.
- 提高警行为与较差的患者-提供者关系质量有关.
- 定性数据揭示了特定的途径,将提供者歧视,警和关系质量联系起来,特别是在有色女性中.
结论:
- 定量发现支持一个模型,种族和SES影响社会歧视,这影响了警行为和患者-提供者关系质量.
- 定性数据为这些机制在临床环境中如何运作提供了洞察力.
- 建立信任对于患者与提供者关系至关重要,特别是对于有色人种女性来说,以减轻歧视的负面影响.
关键词:
密歇根州密歇根州密歇根州密歇根州美国的美国.跨截面研究是跨截面研究.焦点小组是一个重点小组.路径分析路径分析怀孕 怀孕 怀孕 怀孕 怀孕专业人员与患者之间的关系生殖健康 生殖健康社会歧视社会歧视结构方程建模 结构方程建模在信任信任信任信任信任信任.警的警 警的警更多相关视频
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